Bunchuk NV, Levshakova AV. Advices for diagnostics of ankylosing spondylitis / axial spondyloarthritis: A review. Consilium Medicum. 2024;26(2):97–106. DOI: 10.26442/20751753.2024.2.202737
Советы по диагностике анкилозирующего спондилита/аксиального спондилоартрита. 2 часть. Поражение позвоночного столба
Бунчук Н.В., Левшакова А.В. Советы по диагностике анкилозирующего спондилита / аксиального спондилоартрита. Consilium Medicum. 2024;26(2):97–106. DOI: 10.26442/20751753.2024.2.202737
Bunchuk NV, Levshakova AV. Advices for diagnostics of ankylosing spondylitis / axial spondyloarthritis: A review. Consilium Medicum. 2024;26(2):97–106. DOI: 10.26442/20751753.2024.2.202737
В статье, написанной ревматологом и рентгенологом, которые в течение многих лет занимаются диагностикой анкилозирующего спондилита (АС) / аксиального спондилоартрита, даются советы в отношении рационального распознавания рассматриваемых заболеваний. Во 2-й части статьи приводятся сведения о характерных для АС / аксиального спондилоартрита изменениях позвоночного столба, имеющих диагностическое значение и определяющих прогноз так называемой центральной формы АС.
This article, written by a rheumatologist and a radiologist who have been diagnosing ankylosing spondylitis – AS (axial spondyloarthritis) for many years, provides advice on the rational recognition of these diseases. The second part of the article provides information on changes in the spinal column typical
of AS / axial spondyloarthritis, which have diagnostic significance and determine the prognosis of the so-called central type of AS.
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2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
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8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
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14. Madari Q, Sepriano A, Ramiro S, et al. 5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis: data from the DESIR cohort. RMD Open. 2020;6(1):e001093. DOI:10.1136/rmdopen-2019-001093
15. Braun J, Blanco R, Marzo-Ortega H, et al. Two-year imaging outcomes from a phase 3 randomized trial of secukinumab in patients with non-radiographic axial spondyloarthritis. Arthritis Res Ther. 2023;25(1):80. DOI:10.1186/s13075-023-03051-5
16. Baraliakos X, Kiltz U, Peters S, et al. Efficiency of treatment with non-steroidal anti-inflammatory drugs according to current recommendations in patients with radiographic and non-radiographic axial spondyloarthritis. Rheumatology (Oxford). 2017;56(1):95-102. DOI:10.1093/rheumatology/kew367
17. Stal R, Baraliakos X, van der Heijde D, et al. Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis. RMD Open. 2022;8(2):e002250. DOI:10.1136/rmdopen-2022-002250
18. Takigawa T, Tanaka M, Nakanishi K, et al. SAPHO syndrome associated spondylitis. Eur Spine J. 2008;17(10):1391-7. DOI:10.1007/s00586-008-0722-x
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21. Zhao Z, Chen W, Wang Y, et al. Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis. Front Med (Lausanne). 2021;8:680598. DOI:10.3389/fmed.2021.680598
22. Wang Y, Gao D, Ji X, et al. When brucellosis met the Assessment of SpondyloArthritis international Society classification criteria for spondyloarthritis: a comparative study. Clin Rheumatol. 2019;38(7):1873-80. DOI:10.1007/s10067-019-04481-w
23. Udby PM, Samartzis D, Carreon LY, et al. A definition and clinical grading of Modic changes. J Orthop Res. 2022;40(2):301-7. DOI:10.1002/jor.25240
24. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-8. DOI:10.1002/art.1780270401
25. Rudwaleit M, Metter A, Listing J, et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis Rheum. 2006;54(2):569-78. DOI:10.1002/art.21619
26. Dale K. In: Proceedings from a symposium on Bechterew’s syndrome and allied disorders. Oslo, Norway, October 22–24, 1979. Scand J Rheumatol Suppl. 1980;32:1-252.
27. Vogler JB 3rd, Brown WH, Helms CA, Genant HK. The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology. 1984;151(2):433-7. DOI:10.1148/radiology.151.2.6709915
28. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology (Oxford). 2002;41(4):375-80. DOI:10.1093/rheumatology/41.4.375
________________________________________________
1. Romanus R, Yden S. Destructive and ossifying spondylitic changes in rheumatoid ankylosing spondylitis (pelvo-spondylitis ossificans). Acta Orthop Scand. 1952;22(2):88-99. DOI:10.3109/17453675208988998
2. Aufdermaur M. Pathogenesis of square bodies in ankylosing spondylitis. Ann Rheum Dis. 1989;48(8):628-31. DOI:10.1136/ard.48.8.628
3. Bron JL, de Vries MK, Snieders MN, et al. Discovertebral (Andersson) lesions of the spine in ankylosing spondylitis revisited. Clin Rheumatol. 2009;28(8):883-92.
DOI:10.1007/s10067-009-1151-x
4. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology.
1988;166(1 Pt 1):193-9. DOI:10.1148/radiology.166.1.3336678
5. Tsiv’ian IaL. Khirurgiia pozvonochnika. 2-e izd., ispr. i dop. Novosibirsk: Izd-vo Novosib. un-ta, 1993 (in Russian).
6. Dihlmann W. Spondylitis ankylopoetica – die Bechterewsche Krankheit [Ankylosing spondylitis – Bechterew's disease]. Fortschr Geb Rontgenstr Nuklearmed. 1968;(Suppl. 100):1+ [Article in German].
7. McEwen C, DiTata D, Lingg C, et al. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter’s disease. A comparative study. Arthritis Rheum. 1971;14(3):291-318. DOI:10.1002/art.1780140302
8. Brophy S, Mackay K, Al-Saidi A, et al. The natural history of ankylosing spondylitis as defined by radiological progression. J Rheumatol. 2002;29(6):1236-43.
9. Baraliakos X, Østergaard M, Lambert RG, et al. MRI lesions of the spine in patients with axial spondyloarthritis: an update of lesion definitions and validation by the ASAS MRI working group. Ann Rheum Dis. 2022;81(9):1243-51. DOI:10.1136/annrheumdis-2021-222081
10. Van der Heijde D, Baraliakos X, Hermann KA, et al. Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial. Ann Rheum Dis. 2018;77(5):699-705. DOI:10.1136/annrheumdis-2017-212377
11. Bochkova AG, Levshakova AV, Bunchuk NI. Spine inflammatory changes in patients with ankylosing spondylitis assessed by magnetic resonance image. Rheumatology Science and Practice. 2008;46(5):17-25 (in Russian). DOI:10.14412/1995-4484-2008-410
12. De Hooge M, van den Berg R, Navarro-Compán V, et al. Patients with chronic back pain of short duration from the SPACE cohort: which MRI structural lesions in the sacroiliac joints and inflammatory and structural lesions in the spine are most specific for axial spondyloarthritis? Ann Rheum Dis. 2016;75(7):1308-14. DOI:10.1136/annrheumdis-2015-207823
13. Hermann KG, Baraliakos X, van der Heijde DM, et al. Descriptions of spinal MRI lesions and definition of a positive MRI of the spine in axial spondyloarthritis: a consensual approach by the ASAS/OMERACT MRI study group. Ann Rheum Dis. 2012;71(8):1278-88. DOI:10.1136/ard.2011.150680
14. Madari Q, Sepriano A, Ramiro S, et al. 5-year follow-up of spinal and sacroiliac MRI abnormalities in early axial spondyloarthritis: data from the DESIR cohort. RMD Open. 2020;6(1):e001093. DOI:10.1136/rmdopen-2019-001093
15. Braun J, Blanco R, Marzo-Ortega H, et al. Two-year imaging outcomes from a phase 3 randomized trial of secukinumab in patients with non-radiographic axial spondyloarthritis. Arthritis Res Ther. 2023;25(1):80. DOI:10.1186/s13075-023-03051-5
16. Baraliakos X, Kiltz U, Peters S, et al. Efficiency of treatment with non-steroidal anti-inflammatory drugs according to current recommendations in patients with radiographic and non-radiographic axial spondyloarthritis. Rheumatology (Oxford). 2017;56(1):95-102. DOI:10.1093/rheumatology/kew367
17. Stal R, Baraliakos X, van der Heijde D, et al. Role of vertebral corner inflammation and fat deposition on MRI on syndesmophyte development detected on whole spine low-dose CT scan in radiographic axial spondyloarthritis. RMD Open. 2022;8(2):e002250. DOI:10.1136/rmdopen-2022-002250
18. Takigawa T, Tanaka M, Nakanishi K, et al. SAPHO syndrome associated spondylitis. Eur Spine J. 2008;17(10):1391-7. DOI:10.1007/s00586-008-0722-x
19. Bunchuk NV. Osteoarthropathy of the front thorax. Consilium Medicum. 2022;24(11):828-34 (in Russian). DOI:10.26442/20751753.2022.11.202030
20. Bochkova AG. Sluchay paraneoplasticheskoy osteomalyatsiy. Consilium Medicum. 2007;9(2):7-9 (in Russian).
21. Zhao Z, Chen W, Wang Y, et al. Comparative Analysis of Clinical and Imaging Features of Osteomalacia and Spondyloarthritis. Front Med (Lausanne). 2021;8:680598. DOI:10.3389/fmed.2021.680598
22. Wang Y, Gao D, Ji X, et al. When brucellosis met the Assessment of SpondyloArthritis international Society classification criteria for spondyloarthritis: a comparative study. Clin Rheumatol. 2019;38(7):1873-80. DOI:10.1007/s10067-019-04481-w
23. Udby PM, Samartzis D, Carreon LY, et al. A definition and clinical grading of Modic changes. J Orthop Res. 2022;40(2):301-7. DOI:10.1002/jor.25240
24. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27(4):361-8. DOI:10.1002/art.1780270401
25. Rudwaleit M, Metter A, Listing J, et al. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis Rheum. 2006;54(2):569-78. DOI:10.1002/art.21619
26. Dale K. In: Proceedings from a symposium on Bechterew’s syndrome and allied disorders. Oslo, Norway, October 22–24, 1979. Scand J Rheumatol Suppl. 1980;32:1-252.
27. Vogler JB 3rd, Brown WH, Helms CA, Genant HK. The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology. 1984;151(2):433-7. DOI:10.1148/radiology.151.2.6709915
28. McLauchlan GJ, Gardner DL. Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density. Rheumatology (Oxford). 2002;41(4):375-80. DOI:10.1093/rheumatology/41.4.375
Авторы
Н.В. Бунчук*1, А.В. Левшакова2
1ООО «Клиника Сесиль+», Москва, Россия; 2Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России, Москва, Россия
*nbunchuk@yahoo.com
________________________________________________
Nikolay V. Bunchuk*1, Antonina V. Levshakova2
1"Klinika Sesil'+" LLC, Moscow, Russia; 2Hertsen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre, Moscow, Russia
*nbunchuk@yahoo.com